Department of Gynecology and Obstetrics, Johns Hopkins University School of Medicine, and the Departments of Health, Behavior and Society and Population, Family, and Reproductive Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland; and the Guttmacher Institute, New York, New York.
Obstet Gynecol. 2020 May;135(5):1177-1183. doi: 10.1097/AOG.0000000000003834.
To describe the number of admissions of pregnant people to U.S. jails and the outcomes of pregnancies that end in custody.
We prospectively collected pregnancy data from six U.S. jails, including the five largest jails, on a monthly basis for 12 months. Jails reported de-identified, aggregate numbers of pregnant people admitted, births, preterm births, cesarean deliveries, miscarriages, induced abortions, ectopic pregnancies, and maternal and newborn deaths.
There were 1,622 admissions of pregnant people in 12 months in the selected jails. The highest 1-day count of pregnant people at a single jail was 65. The majority of these admissions involved the release of a pregnant person. Of the 224 pregnancies that ended in jail, 144 (64%) were live births, 41 (18%) were miscarriages, 33 (15%) were induced abortions, and four were ectopic (1.8%). One third of the births were cesarean deliveries and 8% were preterm. There were two stillbirths, one newborn death, and no maternal deaths.
About 3% of admissions of females to U.S. jails are of pregnant people; extrapolating study results to national female jail admission rates suggests nearly 55,000 pregnancy admissions in 1 year. It is feasible to track pregnancy statistics about this overlooked group.
描述美国监狱中孕妇的入院人数以及以监禁结局的妊娠结局。
我们前瞻性地从美国 6 所监狱（包括 5 所最大的监狱）每月收集妊娠数据，共收集 12 个月。监狱报告了匿名的、汇总的孕妇入院人数、分娩、早产、剖宫产、流产、人工流产、异位妊娠以及母婴死亡情况。
在所选择的监狱中，12 个月内有 1622 名孕妇入院。单所监狱中孕妇人数的最高单日记录为 65 人。这些入院孕妇多数是被释放。在 224 例以监禁结局的妊娠中，144 例（64%）为活产，41 例（18%）为流产，33 例（15%）为人工流产，4 例为异位妊娠（1.8%）。三分之一的分娩为剖宫产，8%为早产。有两例死产，一例新生儿死亡，无产妇死亡。
美国监狱中约 3%的女性入院是孕妇；将研究结果外推到全国女性监狱入院率，表明每年有近 55000 例妊娠入院。对这个被忽视的群体进行妊娠统计是可行的。
